Provider Demographics
NPI:1669059333
Name:ROSECARE LLC
Entity type:Organization
Organization Name:ROSECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHIDIEBERE
Authorized Official - Middle Name:
Authorized Official - Last Name:OKORONKWO
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OTR/L
Authorized Official - Phone:410-903-4320
Mailing Address - Street 1:23 BLUE HERON CT
Mailing Address - Street 2:
Mailing Address - City:MIDDLE RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:21220-7519
Mailing Address - Country:US
Mailing Address - Phone:410-903-4320
Mailing Address - Fax:
Practice Address - Street 1:23 BLUE HERON CT
Practice Address - Street 2:
Practice Address - City:MIDDLE RIVER
Practice Address - State:MD
Practice Address - Zip Code:21220-7519
Practice Address - Country:US
Practice Address - Phone:410-903-4320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-26
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health